Active NPI
Adesoji Ajala, NP
- Family Nurse Practitioner
- Littleton, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.0998722-NP
- Practice address
- 5822 S Lowell Way
Littleton, CO 80123-2849 - Phone
- (720) 669-3470
- Fax
- (720) 669-3480
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN.0998722-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | APN.0998722-NP | CO | Primary |
Addresses
Primary practice location
5822 S Lowell Way
Littleton, CO 80123-2849
Mailing address
8181 E Tufts Ave Ste 560
Denver, CO 80237-2559
Phone (720) 669-3470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725000166 | CO | Practitioner - Nurse Practitioner | 3870988199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0998722-NP | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Springs Medical and Healthcare Inc | Current | Accepting new patients | |
| Forte Health and Wellness Inc | Nurse Practitioner | Current | Accepting new patients |
| Arise Support Services LLC | Past | Accepting new patients |
Locations
8181 E Tufts Ave
Ste 560
Denver, CO 80237
Phone (720) 669-3480
5822 S Lowell Way
Littleton, CO 80123
Phone (303) 798-2497
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Arise Support Services LLC | Home health agency | 5% Or Greater Direct Ownership Interest (50%) W-2 Managing Employee Operational/Managerial Control |
May 8, 2020 May 8, 2020 May 8, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Home Health Agency
- Denver, CO
- NPI 1679220396
5% Or Greater Direct Ownership Interest, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Denver, CO
- NPI 1962391631
-
- Home Health Agency
- Denver, CO
- NPI 1679220396
-
- General Practice Physician
- Denver, CO
- NPI 1447888797
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1063190825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8181 E TUFTS AVE STE 560",
"city": "DENVER",
"state": "CO",
"postal_code": "802372559",
"telephone_number": "720-669-3470",
"fax_number": "720-669-3480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5822 S LOWELL WAY",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801232849",
"telephone_number": "720-669-3470",
"fax_number": "720-669-3480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJALA",
"first_name": "ADESOJI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0998722-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.0998722-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.